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This version of the form is not currently in use and is provided for reference only. Download this version of
State Form 49894
for the current year.
State Form 49894 Report of Latent Tuberculosis (Tb) Infection - Indiana
What Is State Form 49894?
This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 49894?A: Form 49894 is a report of latent tuberculosis (TB) infection.
Q: Who is required to file Form 49894?A: Healthcare providers are required to file Form 49894.
Q: What is latent tuberculosis (TB) infection?A: Latent tuberculosis (TB) infection is when a person has the TB bacteria in their body, but it is not active and they do not have any symptoms.
Q: Why is Form 49894 necessary?A: Form 49894 is necessary to track and monitor cases of latent TB infection in Indiana.
Q: How can healthcare providers obtain Form 49894?A: Healthcare providers can obtain Form 49894 from the Indiana State Department of Health.
Q: Is Form 49894 specific to Indiana?A: Yes, Form 49894 is specific to Indiana.
Q: What information is required on Form 49894?A: Form 49894 requires information such as the patient's name, demographics, test results, and treatment information.
Q: Is filing Form 49894 mandatory?A: Yes, healthcare providers are required to file Form 49894.
Q: Are there any penalties for not filing Form 49894?A: Failure to file Form 49894 may result in penalties or legal consequences for healthcare providers.
Form Details:
- Released on January 1, 2016;
- The latest edition provided by the Indiana State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of State Form 49894 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.
Download State Form 49894 Report of Latent Tuberculosis (Tb) Infection - Indiana
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